Surgical Management of Intramedullary Spinal Cord Tumors

Neurosurg Clin N Am. 2020 Apr;31(2):237-249. doi: 10.1016/j.nec.2019.12.004. Epub 2020 Jan 31.

Abstract

Intramedullary spinal cord tumors (IMSCT) comprise a rare subset of CNS tumors that have distinct management strategies based on histopathology. These tumors often present challenges in regards to optimal timing for surgery, invasiveness, and recurrence. Advances in microsurgical techniques and technological adjuncts have improved extent of resection and outcomes with IMSCT. Furthermore, adjuvant therapies including targeted immunotherapies and image-guided radiation therapy have witnessed rapid development over the past decade, further improving survival for many of these patients. In this review, we provide an overview of types, epidemiology, imaging characteristics, surgical management strategies, and future areas of research for IMSCT.

Keywords: Astrocytoma; Ependymoma; Hemangioblastoma; Intramedullary; Spinal cord tumor.

Publication types

  • Review

MeSH terms

  • Astrocytoma / surgery
  • Cervical Vertebrae / surgery
  • Humans
  • Neoplasm Recurrence, Local / surgery*
  • Neurosurgical Procedures* / methods
  • Spinal Cord / pathology
  • Spinal Cord / surgery*
  • Spinal Cord Neoplasms / surgery*